Many patients with cervical spondylosis will have limb movement disorders, such as spinal cord cervical spondylosis patients will have hand movement inflexibility, can not do some fine hand movements, the lower limbs will appear to walk on cotton feeling, walking unsteady. Is it that these similar situations must be a manifestation of cervical spondylosis? Not necessarily! We should also pay attention to extrapyramidal diseases, which can also exhibit similar conditions.
Extrapyramidal diseases are misdiagnosed as cervical spondylosis from time to time!
When it comes to extrapyramidal diseases, everyone may not know much, but if you talk about Parkinson's disease, everyone should know. Parkinson's disease is a common type of extrapyramidal disease, let's take Parkinson's as an example, to tell you why it and cervical spondylosis are confused.
In the early stages of Parkinson's disease, many patients present with unilateral limb bradykinesia, which can occur in the upper or lower extremities, and sometimes with soreness and weakness in the neck and shoulders. If at this time, such patients go to the hospital for examination because of these discomforts, do cervical magnetic resonance examination, and just find that there is cervical disc herniation, then it is easy to be confused with cervical spondylosis.
In fact, this situation is not uncommon in clinical practice. Some patients have cervical disc herniation at the same time, but also in the early stage of Parkinson's disease, their symptoms are concentrated only on one side of the upper limb, then the patient may be treated as cervical spondylosis.
Wrong diagnosis, leading to subsequent treatments that are also wrong! Treatment of cervical spondylosis is mainly conservative treatment and surgery. If conservative treatment is not okay, if such misdiagnosed patients are subjected to cervical spine surgery, not only is the treatment ineffective, but also causes damage to the cervical joint.
Teach you two simple movements to roughly distinguish between cervical spondylosis and extrapyramidal diseases!
Parkinson's disease and cervical spondylosis, both of which need to be diagnosed and treated in neurosurgery, require our neurosurgery doctors to discern. Neurosurgeons with experience in functional neurosurgery can easily distinguish between the two through early symptoms when encountering such patients.
Here, I teach you two very simple movements, if you have limb movement delay, inflexibility, you can simply determine whether you are cervical spondylosis, Parkinson's disease and other extrapyramidal diseases from these two actions.
First action: screw the screw. If you can do it with a lot of flexibility, then we can basically determine that your extrapyramidal lineage is normal, that is, there are no early manifestations of Parkinson's disease.
Second action: Rub your fingers. If this action is done flexibly, it also indicates that the extrapyramidal system is basically normal.
Finally, remind everyone: if you do a screw tightening action, do more clumsy, very slow, or do the action of rubbing your fingers can not rub past, and there is shaking, then it is likely to be an early extrapyramidal symptom, may be Parkinson's disease or Parkinson's syndrome and other diseases, must go to the regular hospital neurosurgery as soon as possible for medical examination.